Justin C O'Hanlon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L3787 Issued in OR

Practice address

2100 SE Lake Rd
#2A
Milwaukie, OR 97222-7759

Phone

(503) 753-4559

Fax

(503) 387-3027

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1992860803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE LAKE RD",
            "address_2": "#2A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227759",
            "telephone_number": "503-753-4559",
            "fax_number": "503-387-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE LAKE RD",
            "address_2": "#2A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227759",
            "telephone_number": "503-753-4559",
            "fax_number": "503-387-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HANLON",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L3787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Nyein, OTRL
• Darcy Gwen Nyone, MA
• Kerry Lee O'Brien, NP
• Micah Benjamin O'Brien, PTA
• Cari O'Donnell, DOCTORATE
• Jennifer Leigh O'Leary, ND
• Oak Grove Family Medical Clinic P C
• Laura Tomi Obayashi, OCCUPATIONAL THERAPY
• Debra L Olberding, MS CCCSLP
• Ana Lia Oliva, SLP

• Clinical Social Worker in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.